Revenue Cycle Management Director
Lakeland, FL
Remote
Full Time
POSTED ON 5/11/2023
CLOSED ON 6/3/2023
Job Posting for Revenue Cycle Management Director at RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Revenue Cycle Management Director
Job Description
Job Title: Revenue Cycle Management Director
Job Location: Hybrid
Reports to: Chief Financial Officer
Type of Shifts: Full Time
Company Mission/Summary
Recognized and accredited by the American College of Radiology, Radiology and Imaging Specialists (RIS) prides itself on being a high-quality workplace that is supportive of you through teamwork and celebrating success. RIS has grown to be one of the leading radiology providers in Polk County in Polk County since starting over 50 years ago. With more than 45 physicians and five imaging centers, our physicians, administration, and staff strive to be an independent radiology practice providing the community with high-quality, compassionate service utilizing leading-edge technology. As a growing company, you’ll find opportunities to strengthen and develop your career in healthcare with a team of supportive leaders. As a growing company, you’ll find opportunities to strengthen and develop your career in healthcare with a team of supportive leaders. RIS is based in historic Lakeland Florida, with great community offerings with great community offers such as outdoor recreational activities, excellent universities, award-winning community theaters, art museums, and more.
Introduction
RIS looking for a Director of Revenue Cycle Management who will report to the CFO and will be responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement in a cost-effective manner that is in compliance with federal, state and payer-specific billing requirements. The Director will oversee the overall policies, objectives, and initiatives of RIS facilities’ revenue cycle activities to optimize the patient financial interaction along the care continuum.
Job Responsibilities
Ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances- Serves as the resident expert and "go to" person for all coding, billing and collections processes.
- Ad hoc reporting as needed
- Coordinate and manage all billing outsource service contact
- Development of board and meeting presentations
- CDS/AUC Process and Implementation (Effective 1/1/22)
- OBL/ASC – Intense Billing Review
- Oversee eligibility and authorization process and monitoring
- PET (PET DRUGS) & Imaging Centers – Intense Reimbursement Review
- Complete audits relative to claims, collection agency activities, and identification of issues
- Payor enrollment/credentialing tracking/management
- MIPS Management
- Assist physicians as need to guarantee maximum bonus achievable
-
Perform documentation for physician/techs liaison for training and amendments as needed
- Follow up directly with physicians on documentation amendments
- Develops, reviews and enhances operating policies and procedures to improve quality and efficiency.
- Ensures compliance with coding and billing regulations, relevant healthcare regulations and data privacy issues (e.g., HIPAA).
- Conduct periodic review of modalities and reimbursement
Perks and Benefits
RIS offers competitive Medical, Dental, Vision, Life and Disability insurance- Opportunity for remote work
Education and Experience
- Bachelor's degree required in related field or healthcare preferred.
- At least 5 years experience with revenue cycle functions, preferably in both the shared service and clinical department environments.
- Demonstrated understanding of MIPS management and CDS/AUC
- Excellent ability to delegate responsibilities while maintaining organizational control of branch operations and customer service
- Knowledge of basic insurance policies, procedures, and reimbursement practices with radiology and surgery center billing recommended
- Knowledge of general business software and aptitude to learn new applications; proficiency in Microsoft Office (Word, Excel, Outlook)
Required Skills
Coding preferred, but not required- MIPS
- Leadership
- Conflict Management
- Organization
- Decision-Making
- People Management
- Data Entry Skills
- Data Processing Skills
- Dependable
- Reporting Skills
- Deadline-Oriented
- Budget Development
Physical Requirements
Ability to sit for prolonged periods- Normal hand eye coordination and manual dexterity
- Ability to lift up to 50 lbs.
- Ability to distinguish letters and symbols
- Ability to respond quickly to sounds
- Clarity of vision at close distances (20 inches or less) and far distances (20ft or more)
- Ability to work independently
Radiology and Imaging Specialists is an equal opportunity employer
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Salary.com Estimation for Revenue Cycle Management Director in Lakeland, FL
$70,246 to $93,962
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